ENS 41880

v t e ENS Event
15:00 Jul 26, 2005
Title	Medical Event - Dose Less than Prescribed During Medical Treatment
Event Description	A patient being treated for liver cancer was scheduled to be administered two SIR-spheres treatments (SIR-spheres utilizes radioactive micro-spheres that contain yttrium-90). The first treatment was prescribed as 0.46 GBq (GigaBecquerels) of Y-90. Due to difficulty in determining how much of the Y-90 remained in the vial and the injection catheter, the licensee has determined that only 0.25 GBq were administered in the first treatment dose. The patient will be given a second treatment that takes into consideration the actual amount administered on the first treatment. The licensee notes that the fraction of Y-90 administered differs from the prescribed dose by 46%. The regulatory criteria under 10 CFR 35.3045(a)(1)(iii) states that the reportability criteria is 50% or greater. The licensee has elected to conservatively report this event since it is close to the regulatory criteria.

ENS 41880 +/-
Where
Saint Luke Hospital Bethlehem, Pennsylvania (NRC Region 1)
License number:	37-07939-01
Organization:	Saint Luke Hospital
Reporting

10 CFR 35.3045(a)(1)
Time - Person (Reporting Time:+68.87 h2.87 days <br />0.41 weeks <br />0.0943 months <br />)
Opened:	Tianyou Xue 11:52 Jul 29, 2005
NRC Officer:	Bill Huffman
Last Updated:	Jul 29, 2005
41880 - NRC Website
v • d • e

v t e Emergency Notification System
Saint Luke Hospital with 10 CFR 35.3045(a)(1)
WEEKMONTHYEAR2005-07-26T15:00:00 [Table view]
[ENS list for Saint Luke Hospital]

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